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Japanese Journal of Ophthalmology

, Volume 63, Issue 1, pp 1–6 | Cite as

Uveitis: contrasting the approaches in Japan and the United States

  • James T. RosenbaumEmail author
Forefront Review Organizer: Annabelle A. Okada, MD, DMSc
  • 65 Downloads

Abstract

Purpose

To compare the approaches to uveitis in Japan and the United States.

Methods

This report is based on the author’s personal experience, conversations with Japanese colleagues, and a literature search using the database of the US National Library of Medicine.

Results

The frequencies of specific forms of uveitis vary between the two countries. Options for therapy are affected by government regulations and the impact of insurance carriers. In both countries, there is a stepwise approach to therapy beginning with topical corticosteroids and ultimately advancing to biologics. Despite the differences, the goals for therapy, disease control with minimal toxicity, are the same.

Conclusions

Genetic, environmental, and regulatory differences impact the approach to uveitis. Despite these factors, the goal for therapy is essentially the same.

Keywords

Uveitis Japan United States Behcet’s disease Biologics 

Notes

Acknowledgements

The author is indebted to Professor Annabelle Okada for constructive comments on the contents of this manuscript and to Sandra Lewis, M.D. for assistance in preparing the bar graph.

Conflicts of interest

Consultant fees (AbbVie, Eyevensys, Gilead, Janssen, Novartis, Regeneron, Roche, UCB); Clinical trial support (Pfizer).

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Copyright information

© Japanese Ophthalmological Society 2018

Authors and Affiliations

  1. 1.Casey Eye InstituteOregon Health and Sciences UniversityPortlandUSA
  2. 2.Legacy Devers Eye InstitutePortlandUSA

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